States Labrum, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4022 Issued in TN

Practice address

600 E Veterans Dr Ste a
Cookeville, TN 38501-4038

Phone

(931) 372-1994

Fax

(931) 372-9045

NPI assigned

Jun 24, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Optometry

Education

Southern College of Optometry, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Middle Tennessee Eye Associates of Cookeville PLLC

  • Ophthalmology Physician
  • Cookeville, TN
  • NPI 1033305735
  NPD
• Vanderbilt University Medical Center

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1376469452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11797 FOX HILL RD",
            "city": "BAXTER",
            "state": "TN",
            "postal_code": "385444880",
            "telephone_number": "615-975-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E VETERANS DR STE A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014038",
            "telephone_number": "931-372-1994",
            "fax_number": "931-372-9045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11797 Fox Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "TN",
            "postal_code": "385444880",
            "country_code": "US",
            "telephone_number": "615-975-7395",
            "fax_number": "931-372-9045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABRUM",
        "first_name": "STATES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "4022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trina Nadia Kreil, D.C.
• Mark D Kriskovich, M.D.
• Kroger Limited Partnership I
• Mollie Mariana Kvalvik, FMNP
• La Management Company
• Lillian Brady Laduke, RN
• Cindy Lafever
• Alexis Lahoda
• Logan Lamb, DC
• Reygan Brooke Lamb, ATC

• Optometrist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.